Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.024812 | OH |
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.024812 | OH |
NPI | 1063188910 |
---|---|
Provider Name | Lindsay Anne Campbell |
First Address | Grove City, OH 43123-3334 |
Second Address | Alpharetta, GA 30009-2210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2021 |
Last Update Date | 20/08/2021 |